Individual
MIO UEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
465 GRAND ST, NEW YORK, NY 10002-4800
(212) 420-1999
Mailing address
465 GRAND ST, NEW YORK, NY 10002-4800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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